Laparoscopic excision of ruptured non-communicating rudimentary horn pregnancy

Yıl 2014, Cilt: 45 Sayı: 4, 171 - 174, 18.08.2014

Hasan Topçu , Ümit Taşdemir Ali Güzel Mahmut Kokanalı Özlem Evliyaoğlu Melike Doğanay

Öz

Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in a non-communicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with prior vaginal delivery is difficult. It can be undiagnosed in routine ultrasound scan and in majority of cases it is detected after rupture. We report a case of G2 P1 with ruptured rudimentary horn pregnancy at 9 weeks of gestation which was misdiagnosed as tubal ectopic pregnancy.

Key words: non-communicating rudimentary horn pregnancy, laparoscopy, unicornuate uterus

Anahtar Kelimeler

non-communicating rudimentary horn pregnancy, laparoscopy, unicornuate uterus.

Rüptüre Non-Komminikan Rudimenter Horn Gebeliğinin Laparoskopik Eksizyonu

Öz

Rudimenter hornu olan unikornuat uterus mullerian kanalların birinin komplet olmayan gelişimi ve karşı taraf mullerian kanalın inkomplet füzyonu sonucu oluşur. Non-kommunike rudimenter hornda gebelik oldukça nadirdir ve genellikle birinci veya ikinci trimestırda rüptürle sonuçlanır. Daha önce vajinal doğum öyküsü olan bir kadında rüpture rudimenter horn gebeliğinin tanısı oldukça zordur. Rutin ultrasonografik değerlendirmede tanınamayabilir ve çoğunlukla tanı rüptür sonrası konulabilir. Bu vaka sunumunda; 24 yaşında, G2P1 olan ve ön tanısı tubal ektopik gebelik olan rüptüre rudimenter horn vakasını tartıştık.

Anahtar Kelimeler: non-komünike rudimenter horn gebeliği, laparoskopi, unikornuat uterus

Anahtar Kelimeler

non-komünike rudimenter horn gebeliği, laparoskopi, unikornuat uterus.

Kaynakça

• Strassmann EO. Fertility and unification of double uterus. Fertility and sterility. 1966;17(2):165-76.
• Acien P. Incidence of Mullerian defects in fertile and infertile women. Human reproduction. 1997;12(7):1372-6.
• Hassan CH, Karim AK, Ismail NA, Omar MH. Case report of ruptured non-communicating right rudimentary horn pregnancy: an acute emergency. Acta medica. 2011;54(3):125-6.
• O'Leary JL, O'Leary JA. Rudimentary Horn Pregnancy. Obstetrics and gynecology. 1963;22:371-5.
• Heinonen PK. Unicornuate uterus and rudimentary horn. Fertility and sterility. 1997;68(2):224-30.
• Panayotidis C, Abdel-Fattah M, Leggott M. Rupture of rudimentary uterine horn of a unicornuate uterus at 15 weeks' gestation. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2004;24(3):323-4.
• Shin JW, Kim HJ. Case of live birth in a non-communicating rudimentary horn pregnancy. The journal of obstetrics and gynaecology research. 2005;31(4):329-31.
• Tsafrir A, Rojansky N, Sela HY, Gomori JM, Nadjari M. Rudimentary horn pregnancy: first-trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2005;24(2):219-23.
• Liu MM. Unicornuate uterus with rudimentary horn. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 1994;44(2):149-53.
• Nahum GG. Rudimentary uterine horn pregnancy. The 20th-century worldwide experience of 588 cases. The Journal of reproductive medicine. 2002;47(2):151-63.